Senior Product Manager, Clinical Risk
Rightway
full-time
Posted on:
Location Type: Remote
Location: New York • United States
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Salary
💰 $140,000 - $160,000 per year
Job Level
About the role
- Own the product vision and roadmap for Rightway’s Clinical Risk & Engagement product suite, balancing near-term delivery (monitoring + identification) with a longer-term path to proactive and automated engagement.
- Define the end-to-end “risk to action” workflow across teams: forecast → detect risk → explain drivers → prioritize opportunities → enable outreach → measure impact.
- Build tools that reduce or replace manual analysis by enabling:
- automated monitoring of employer populations against contractual guarantee thresholds
- trend detection using contract rules and claims-based spend
- clear views into “what changed” and “why we’re trending over”.
- Create dashboard-style experiences to identify and understand the members driving spend, enabling rapid drill-down from customer → cohort → member.
- Partner with clinical teams to develop a high-signal workflow that supports outreach and behavior change, including:
- a prioritized, ranked “chase list” of members based on estimated intervention value
- member context (condition, medication usage) and clinically appropriate alternatives
- clear explanations that help clinical teams act confidently and consistently.
- Ensure outputs are practical for real outreach operations (not just analytics), and iterate with fast feedback loops.
- Partner with Data Engineering and Analytics teams to define the models and datasets that power these products, leveraging:
- Rx claims, medical claims
- demographics (age, sex)
- member-provided information (health profile submissions).
- Set standards for usability and trust: timeliness, data quality, explainability, and auditability (especially where contract rules and dollars are involved).
- Explore opportunities to incorporate AI/ML where it improves model quality and prioritization without sacrificing interpretability and reliability.
- Translate business needs into detailed requirements, user stories, acceptance criteria, and success metrics.
- Lead discovery with financial risk and clinical partners; align stakeholders around scope, sequencing, and tradeoffs.
- Manage a prioritized backlog across application engineering and data teams; ship iteratively and improve based on adoption and outcomes.
Requirements
- 3+ years of product management experience delivering complex, cross-functional products.
- Strong comfort working with data-heavy systems (dashboards, internal tools, analytics products, forecasting/monitoring).
- Proven ability to turn ambiguous workflows into shipped software that changes how teams operate.
- Experience partnering closely with engineering, data engineering, and analysts to define models, instrumentation, and reliable reporting.
- Ability to communicate clearly with technical and non-technical stakeholders and align them around measurable outcomes.
- Experience bringing a product from 0 to 1, from the beginning of ideation through launch support.
- Experience in healthcare, PBM, claims analytics, or clinical data.
- Experience with financial risk products (forecasting, monitoring, guarantees, margin protection, unit economics).
- Exposure to AI/ML concepts (predictive modeling, ranking, propensity, explainability) and using them responsibly in production products.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
product managementdata analysisdashboard creationworkflow designmodel definitionuser story developmentacceptance criteriaAI/ML conceptsforecastingmonitoring
Soft Skills
communicationstakeholder alignmentcollaborationproblem-solvingiterative improvementleadershipadaptabilitycritical thinkingprioritizationfeedback incorporation